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Montana rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.65 / $958.65 / $958.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $1,316.70 / $1,316.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $962.50